Real Estate and Lending Activities - Summary of Status Update on Current Development Projects (Detail) $ in Thousands	6 Months Ended
	Jun. 30, 2016 USD ($)
Business Acquisition [Line Items]
Commitment	$ 255,048
Costs Incurred as of 06/30/16	75,623
Adeptus Health One [Member]
Business Acquisition [Line Items]
Commitment	62,154
Costs Incurred as of 06/30/16	$ 43,763
Estimated Completion Date	3Q 2016
Adeptus Health Two [Member]
Business Acquisition [Line Items]
Commitment	$ 53,836
Costs Incurred as of 06/30/16	$ 15,343
Estimated Completion Date	4Q 2016
Adeptus Health Three [Member]
Business Acquisition [Line Items]
Commitment	$ 5,730
Costs Incurred as of 06/30/16	$ 206
Estimated Completion Date	1Q 2017
Adeptus Health Four [Member]
Business Acquisition [Line Items]
Commitment	$ 61,997
Costs Incurred as of 06/30/16	$ 16,311
Estimated Completion Date	2Q 2017
Adeptus Health Five [Member]
Business Acquisition [Line Items]
Commitment	$ 71,331
Estimated Completion Date	Various